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Individual

JOHN PRESTON CRAMER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LPC

Contact information

Practice address
400 N BENJAMIN LN STE 201, BOISE, ID 83704-5094
(208) 287-5600
(208) 287-5609
Mailing address
400 N BENJAMIN LN STE 201, BOISE, ID 83704-5094
(208) 287-5600
(208) 287-5609

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
LCPC-7041
ID
101Y00000X
Counselor
LPC-5447
ID

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1285767574
ID
Enumeration date
11/02/2013
Last updated
05/12/2020
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